Individual provider · Type 1 NPI

Kristy L. Tillman

Addiction (Substance Use Disorder) Counselor · Hobbs, NM

NPI number 1295382919 Active

Practice location

920 W Broadway St
Hobbs, NM 88240-5529

Fax (575) 397-4659

Mailing address

PO Box 907
Hobbs, NM 88241-0907

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSA0158041 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295382919

Kristy L. Tillman's National Provider Identifier is 1295382919, issued on Aug 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hobbs, NM. The record was last updated on Aug 19, 2019.